Product Warranty Registration

Thank you for your purchase of a Midtronics product!
Complete and submit this form so we may more easily assist you with any future product questions. Midtronics products are warranted for one year from date of purchase. Please retain proof of date and place of purchase (receipt, bill of sale, etc.) in addition to submitting this form. For more details about the product warranty, consult your instruction manual.

* Required fields are marked with an asterisk.

* Product/Model Name:

*Serial #:

* Date of Purchase: (mm/dd/yyyy)

* Place of Purchase:

* Your Name:

Title:

Company Name:

* Street Address:

* City:

* State/Province:

Telephone:

* Zip/Postal Code:

* Country:

E-Mail Address:

Type of Business:

Auto Parts Store

Battery Distributor

Service Shop

Garage

Other (please specify):

How did you hear about Midtronics? (please specify):

Magazine:

Distributor:

Battery Rep:

Website:

Midtronics user:

Other:

Please rate your initial satisfaction with this product:

Below my expectations

1

2

3

4

Exceeds my expectations

Have you owned a Midtronics product before?

Yes

No

If yes, which product:

Why did you purchase this product?

Replace old tester/charger

Wanted the latest technology

Program purchase

Other reason (please specify):

Any other comments to share about Midtronics products or Midtronics in general?